Plantar fasciitis is a common foot condition that causes pain and discomfort in the heel and arch of the foot. It occurs when the plantar fascia, a thick band of tissue that runs along the bottom of the foot, becomes irritated secondary to overuse, degenerative changes and trauma. In the early stages, it may be inflamed. However, in chronic plantar fasciitis, there are few inflammatory markers. Rather, the plantar fascia tissue demonstrates decreased quality.
The tissue can be overstretched or overlengthened, it may have small micro tears or nodules, and the orientation of the fascial fibres can be altered. As a result, tolerance for activity is limited and pain will result. Tight calf muscles and achilles tendon dysfunction may also contribute to plantar fasciitis and/or refer pain into the heel. Unfortunately, for individuals suffering from this condition, finding relief can be a challenge, recovery can be prolonged, and disability can be high However, massage therapy is an effective treatment option for plantar fasciitis.
An Overview of Plantar Fasciitis
Plantar fasciitis is a condition that primarily affects the heel and arch of the foot. It is characterized by pain and tenderness, especially upon waking or after periods of rest. The pain is often described as a sharp, stabbing sensation that can make walking or standing difficult. In some cases, individuals may also experience swelling or redness in the affected area. Plantar fasciitis tends to affect only one foot at a time, and the pain tends to be localized more towards the inside/arch area of the heel and foot.
Several factors can contribute to the development of plantar fasciitis. One of the most common causes is overuse or repetitive strain on the foot. This can occur in individuals who engage in activities that put excessive stress on the foot, such as running or jumping. Other factors that can increase the risk of developing plantar fasciitis pain include obesity and/or rapid weight gain, wearing improper footwear, and having abnormal foot mechanics. Interestingly the presence of a “heel spur” does not necessarily mean you will have plantar fasciitis or even experience pain. Said differently people with and without heel spurs can experience plantar fasciitis.
Read our blog on the causes of heel pain.
Why Massage?
Massage therapy can treat plantar fasciitis by providing significant relief for individuals suffering from plantar fasciitis. By targeting the affected area and using specialized techniques, massage therapists can promote recovery, increase blood flow, lower pain levels and promote healing.
One of the main advantages of a plantar fasciitis massage is its ability to release tension and tightness in the muscles of the foot and calf. This can help to alleviate stress on the plantar fascia, reducing pain and discomfort. Massage Therapy can also promote relaxation, which can be particularly beneficial for individuals experiencing high levels of stress or anxiety related to their condition.
Benefits of Massage for Plantar Fasciitis
There are several benefits of massage therapy for individuals with plantar fasciitis. These include:
Pain relief: Massage can effectively reduce pain and discomfort associated with plantar fasciitis. By targeting the affected area and using techniques such as deep tissue massage and trigger point therapy, massage therapists can release tension and alleviate pain.
Inflammation reduction: Massage helps to increase blood flow to the affected area, which may help in reducing inflammatory pain. By reducing pain massage therapy can help promote increased capacity and tolerance for activity.
Improved range of motion: Plantar fasciitis can cause stiffness and limited range of motion in the foot. Massage therapy can help to improve flexibility and restore normal movement, making it easier for individuals to perform daily activities without pain or discomfort.
Targeted Massage Techniques for Plantar Fasciitis
Different types of massage techniques can be used to address plantar fasciitis. Some of the most effective techniques include:
Deep tissue massage: This technique involves applying deep pressure to the affected area, targeting the plantar fascia and surrounding muscles. Deep tissue massage helps to release tension, increase blood flow, and potentially reduce inflammatory pain.
Trigger point therapy: This technique focuses on identifying and releasing trigger points, which are specific areas of muscle tightness (or taught bands) that can cause pain and discomfort. By applying pressure to these trigger points, massage therapists can help relieve pain and improve overall function.
Stretching exercises: In addition to hands-on techniques, massage therapists may also prescribe specific stretching exercises to individuals with plantar fasciitis. These exercises help to improve flexibility, reduce stiffness, and prevent future injuries but also empower their clients to better self-manage this condition.
Incorporating Self-Care Practices
In addition to receiving regular massage therapy sessions, individuals with plantar fasciitis can benefit from incorporating self-care practices into their daily routine. Some self-care practices that can help manage symptoms and promote healing include:
Stretching exercises: Regularly stretching the calf muscles and plantar fascia can help to alleviate pain and reduce inflammation. Simple exercises such as calf stretches, towel stretches or using a foam roller can be performed at home. A great time to do these stretches is before you get out of bed. For example, try pumping your toes in a gas pedal fashion 20-30 times before getting out of bed.
Ice therapy: Applying ice to the affected area can help to reduce inflammation and numb pain. Individuals can use ice packs or frozen water bottles to ice the bottom of the foot and heel.
Rest and elevation: Resting the affected foot and elevating it above heart level can help to reduce swelling and promote healing.
Wearing proper footwear: Typically, shoes with a cushioned heel can help alleviate pain. First and foremost, choose a shoe that is comfortable. It does not have to be expensive. Second, choose a shoe that has a decent heel drop. Heel drop refers to the height of the sole of the shoe at the hindfoot (heel) to the forefoot (toes). Look for a shoe with lots of heel support that thins out towards the toes. Avoid flats, flip flops, slippers or sandals. If you are experiencing plantar fasciitis pain, we encourage you to always wear footwear in the house from the moment you get out bed until you go to bed at night.
Read our blog on running in warmer weather with plantar fasciitis.
It is important to consult with a healthcare professional or a qualified massage therapist before incorporating any self-care practices into your treatment plan.
Choosing the Right Massage Styles
When seeking massage therapy for plantar fasciitis, it is important to choose a massage therapist who is knowledgeable and experienced in treating this condition. Look for a therapist who has experience in therapeutic, trigger point or sports massage, as these styles are most effective for addressing plantar fasciitis.
Additionally, always communicate your specific goals and concerns to your massage therapist. They will be able to tailor their treatment plan to meet your individual needs and focus on the areas that require the most attention.
Preventing Plantar Fasciitis Recurrence
Once you have recovered from plantar fasciitis, it is important to take steps to prevent future flare-ups. Some strategies for preventing plantar fasciitis recurrence include:
Wearing proper footwear: Invest in shoes that provide adequate arch support, cushioning, and stability. Avoid wearing worn-out or ill-fitting shoes that can exacerbate foot problems.
Gradually increasing activity level: If you are starting a new exercise program or increasing the intensity of your workouts, do so gradually to allow your feet and legs to adjust. Incorporate rest days into your routine to prevent overuse injuries. As the therapists at REP Physio will tell you, many the injuries we treat are due to either overtraining or under-recovery.
Maintaining a healthy weight: Excess weight can put additional stress on your feet, making you more susceptible to plantar fasciitis. Maintain a healthy weight through a balanced diet and regular physical activity. If you have questions about where to begin with a healthy diet, consider contacting REP Physio’s very own registered dietitian.
Consulting with REP Physio
If you are experiencing symptoms of plantar fasciitis, it is essential to consult with a healthcare professional, and include a registered massage therapist as part of your health care team. At REP Physio we have a dedicated team of professionals with significant experience in treating plantar fasciitis that can provide you with personalized care tailored to your unique needs. Through a collaborative approach, we aim not only to address the immediate discomfort but also to empower you with tools for ongoing self-care and prevention.
Massage therapy, when combined with other treatment modalities such as stretching and strengthening exercises, self-care practices, physical therapy (and possibly radial shockwave) can significantly improve symptoms of plantar fasciitis and promote faster recovery. Don't let foot pain hold you back from enjoying an active, pain-free life! Consider incorporating massage therapy into your treatment plan and experience the benefits firsthand.
You can trust that REP Physio is your partner in this transformative process. Let REP Physio guide you towards a future where every step is taken with comfort and confidence. Schedule your consultation today to embark on a path to renewed foot health and an improved quality of life. Book your appointment today.
